Doctor Name: | DR. RAYMOND R REESE |
NPI Number: | 1902842313 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | C9110 |
Business Practice Address: | 2500 N Esplanade St Ste 101 Cuero, TX - 779544723 |
Business Phone Number: | 3612752463 |
Business Fax Number: | 3612752431 |
Mailing Address: | 2500 N Esplanade St, Ste 101 CUERO |
State: | TX |
Postal Code: | 779544723 |
Phone Number: | 3612752463 |
Fax Number: | 3612752431 |
NPI Enumeration Date: | 06/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | C9110 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |